Individual
MRS. KIMBERLY ANNE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
619 SOUTH ST, FITCHBURG, MA 01420-6248
(978) 827-0757
(978) 703-4431
Mailing address
66 SAW MILL POND RD, FITCHBURG, MA 01420-6041
(978) 827-0757
(978) 703-4431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 5070-SL
MA
Other
Enumeration date
11/13/2007
Last updated
06/24/2021
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